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This version of the form is not currently in use and is provided for reference only. Download this version of
Form ODM06613
for the current year.
Form ODM06613 Accident / Injury Insurance Information - Ohio
What Is Form ODM06613?
This is a legal form that was released by the Ohio Department of Medicaid - a government authority operating within Ohio. Check the official instructions before completing and submitting the form.
FAQ
Q: What is Form ODM06613?
A: Form ODM06613 is a document related to accident/injury insurance information in Ohio.
Q: What does Form ODM06613 cover?
A: Form ODM06613 covers accident and injury insurance information.
Q: What is the purpose of Form ODM06613?
A: The purpose of Form ODM06613 is to provide information about accident and injury insurance.
Q: Who needs to fill out Form ODM06613?
A: Anyone who has accident and injury insurance in Ohio may need to fill out Form ODM06613.
Q: Is Form ODM06613 specific to Ohio?
A: Yes, Form ODM06613 is specific to Ohio.
Q: Is Form ODM06613 mandatory?
A: The requirement to fill out Form ODM06613 depends on the specific circumstances and the instructions provided by the Ohio Department of Medicaid.
Q: What information is required on Form ODM06613?
A: The specific information required on Form ODM06613 may vary, but it generally includes details about accident and injury insurance coverage.
Q: Is there a fee for submitting Form ODM06613?
A: There is no fee for submitting Form ODM06613.
Form Details:
- Released on December 1, 2016;
- The latest edition provided by the Ohio Department of Medicaid;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form ODM06613 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.
